UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042360
Receipt number R000048357
Scientific Title Prospective Study Evaluating Efficacy and Safety of Olanzapine and Aprepitant for Cisplatin-induced Nausea and Vomiting in Hepatic Arterial Infusion Chemotherapy for Hepatocellular Carcinoma
Date of disclosure of the study information 2020/11/05
Last modified on 2023/10/18 14:09:09

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Basic information

Public title

Prospective Study Evaluating Efficacy and Safety of Olanzapine and Aprepitant for Cisplatin-induced Nausea and Vomiting in Hepatic Arterial Infusion Chemotherapy for Hepatocellular Carcinoma

Acronym

PROACT study

Scientific Title

Prospective Study Evaluating Efficacy and Safety of Olanzapine and Aprepitant for Cisplatin-induced Nausea and Vomiting in Hepatic Arterial Infusion Chemotherapy for Hepatocellular Carcinoma

Scientific Title:Acronym

PROACT study

Region

Japan


Condition

Condition

Hepatocellular carcinoma

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of olanzapine for cisplatin-induced nausea and vomiting in patients with hepatocellular carcinoma treated with hepatic arterial infusion chemotherapy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Complete response (CR) rate within 120 hours in patients treated with olanzapine

Key secondary outcomes

1) CR rate, complete control (CC) rate and total control (TC) rate within 24 hours
2) CR rate, CC rate and TC rate within 24-120 hours
3) Numerical rating scale scores of nausea, vomiting and anorexia on day 1-6
4) Frequency of vomiting within 120 hours
5) Frequency of rescue antiemetic treatment within 120 hours
6) Frequency, severity and timing of adverse events due to antiemetic treatment
7) Child-Pugh score and ALBI score at 2 weeks and 1 month after treatment


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

4

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

<Initial treatment(1)>
Granisetron (GRA) 3mg, just before treatment
Olanzapine (OLA) 5mg, in the morning on day 1 and before bedtime on day 1-4

Interventions/Control_2

<Initial treatment(2)>
GRA 3mg, just before treatment

Interventions/Control_3

<Second treatment(1)>
In addition to initial treatment,
aprepitant (APR) 125mg, in the morning on day 1
APR 80mg, in the morning on day 2, 3

Interventions/Control_4

<Second treatment(2)>
Same as initial treatment

Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) 20 years old or more
2) diagnosed of HCC according to the JSH guideline (2017)
3) CDDP-HAIC planned within 7 days
4) no prior HAIC within 3 months
5) informed consent obtained

Key exclusion criteria

1) pregnant, possibly pregnant or breastfeeding
2) regular use of olanzapine or other antipsychotic drugs
3) previous participation in this study
4) moderate or severe (NRS 4 or more) nausea
5) considered not appropriate for participating in this study

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Masayuki
Middle name
Last name Ueno

Organization

Kurashiki Central Hospital

Division name

Department of Gastroenterology and Hepatology

Zip code

710-8602

Address

1-1-1 Miwa, Kurashiki, Okayama, Japan

TEL

086-422-0210

Email

mu13951@kchnet.or.jp


Public contact

Name of contact person

1st name Masayuki
Middle name
Last name Ueno

Organization

Kurashiki Central Hospital

Division name

Department of Gastroenterology and Hepatology

Zip code

710-8602

Address

1-1-1 Miwa, Kurashiki, Okayama, Japan

TEL

0864220210

Homepage URL


Email

mu13951@kchnet.or.jp


Sponsor or person

Institute

Department of Gastroenterology and Hepatology, Kurashiki Central Hospital

Institute

Department

Personal name



Funding Source

Organization

No funding source

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Medical Ethics Committee, Kurashiki Central Hospital

Address

1-1-1 Miwa, Kurashiki, Okayama, Japan

Tel

086-422-0210

Email

kenkyu@kchnet.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 11 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 10 Month 14 Day

Date of IRB

2020 Year 11 Month 04 Day

Anticipated trial start date

2020 Year 11 Month 05 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2023 Year 09 Month 30 Day


Other

Other related information



Management information

Registered date

2020 Year 11 Month 05 Day

Last modified on

2023 Year 10 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048357


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name